Individual
MRS. LATRICE LAWANDA STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8040 REVERE DR, MCDONOUGH, GA 30252-8926
(718) 696-7849
Mailing address
8040 REVERE DR, MCDONOUGH, GA 30252-8926
(718) 696-7849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007400
GA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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